Individual
KEVIN RICKS STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW-C, BCD
Contact information
Practice address
1061 HARMON AVENUE BUILDING 311, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5674
(912) 435-6779
Mailing address
1061 HARMON AVENUE BUILDING, WINN ARMY COMMUNITY HOSPITAL, FORT STEWART, GA 31314-5674
(912) 435-6779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801080549
MI
Other
Enumeration date
10/13/2006
Last updated
09/09/2010
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